孟加拉国南部地区的失明情况

Mohammad Ariful Islam, Afroza E Alam, S. S. B. Bari Rasel, M. Rana, Amir Abdulla Hel Azam, Md Shahjahan Siraj, Syeed Mehbub Ul Kadir
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摘要

2019年1月至12月,在孟加拉国南部地区的一家三级眼科医院进行了一项横断面前瞻性研究,以评估不同眼部疾病导致的失明程度。所有报告的患者不论年龄和性别均纳入本研究。患者分为0 ~ 25岁、26 ~ 50岁、50岁以上三个年龄组。记录和分析人口统计学变量和诊断的眼病。在研究期间,超过1.5名lac患者到医院就诊。男性79058例(52.05%)高于女性72814例(47.95%)。50岁以上人群最常见,75055例(49.42%)。失明相关患者42189例(27.78%)。白内障是可逆性失明中最常见的疾病38662例(91.64%),其次是可逆性和不可逆性失明的角膜疾病1931例(4.57%),不可逆性失明的其他疾病1596例(3.78%)包括眼外伤、后段疾病和青光眼。年龄相关性白内障(ARC)在白内障患者中为37394例(96.72%),在50岁以上与失明相关的患者中为35272例(83.6%)。38662例患者中90%以上(91.64%)为可逆性失明合并白内障患者。总之,年龄相关性白内障是50岁以下患者可逆性失明的最常见原因。不可逆性失明的原因包括眼外伤、角膜溃疡、糖尿病视网膜病变和青光眼。中华医学杂志2021年1月第10卷第10期[02:70 . 74
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Blindness Scenario in the Southern Region of Bangladesh
A cross-sectional, prospective study was conducted in a tertiary level eye hospital in the southern region of Bangladesh, between January and December of 2019, to assess the magnitude of blindness with varying disorders of the eye. All the reported patients irrespective of age and gender were included in this study. Patients were divided into three age groups: 0-25 years, 26-50 years and above 50 years. Demographic variables and eye diseases diagnosed were recorded and analyzed. More than 1.5 lac patients attended the hospital during the study period. Male patients were preponderance 79058 (52.05%) than female 72814 (47.95%). The most common group was above 50 years 75055 (49.42%). Patients related with blindness were 42189 (27.78%). Cataract were the most common disorder of reversible blindness 38662 (91.64%) followed by corneal disorders both reversible and irreversible blindness 1931 (4.57%), and other disorders 1596 (3.78%) with irreversible blindness included ocular trauma, posterior segment disease and glaucoma. Age related cataract (ARC) was 37394 (96.72%) among the patients with cataract, and ARC was found 35272 (83.6%) among the patients related to blindness above 50 years of age. More than 90 percent of the patients 38662 (91.64%) were attended for reversible blindness with cataract. To summarize, age related cataract was the most common cause of reversible blindness among the patients >50 years of age. The causes of irreversible blindness included ocular trauma, corneal ulcer, diabetic retinopathy and glaucoma. CBMJ 2021 January: vol. 10 no. 02 P: 70-74
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